Medicare & Medicaid

New National Academy of Medicine report examines Medicare reimbursement, the RUC, and the process of determining values of medical care and services.

Relative Value Scale Update Committee responds to analysis from National Academies of Sciences, Engineering and Medicine.

NAACOS urges Trump Administration to ensure ACOs and value-based care are part of health policy going forward.

With burnout, worker shortages and razor-thin margins, primary care doctors are in trouble in the United States, and Medicare is not helping.

Moves prompt praise from opponents of high costs of medications, PBMs.

Health care leaders must strategically approach the financial and operational changes that come with Medicare Advantage and Medicaid Managed Care requirements or risk disruptions to revenue cycle management and ultimately, revenue leakage.

Nearly two-thirds of users said they received care they couldn’t have otherwise, highlighting the stakes as Congress considers whether to extend virtual care coverage.

Physician-owned Wilmington Health identifies high-risk patients to deliver care at right time.

RPM gets analyzed in a new report by the Peterson Center on Healthcare.

Peterson Center on Healthcare offers policy recommendations to better serve patients while avoiding wasteful services.

One in eight portal users over 50 report being billed for messaging their doctors, with Medicaid and private plans charging at similar rates.

‘Overly creative’ programs tally up to $2.7B in spending that will end, according to CMS.

Trump nominee Dr. Oz sets Medicare agenda with price transparency, detecting fraud

Medicare Economic Index would better reflect doctor expenses while ensuring patient access, AMA says.

Formal vote comes ahead of June report to Congress on pay in Medicare Physician Fee Schedule.

The evolving landscape of Medicaid work requirements

‘The revolution begins today,’ new HHS Secretary RFK Jr. says.

As obesity medications gain popularity, many older Americans support coverage — but not higher premiums.

Policy center argues patients around the world benefit when Americans pay more than their fair share for research and medicines.

Finance Committee ready to send nomination to full Senate, ranking member says.

A view from the front lines in a pediatric practice.

Limited coverage may hinder personalized treatment options for alcohol use disorder.

No matter how or when Medicaid cuts manifest, Medicaid plan leaders must act now to preserve member support and provider payment stability.

MedPAC proposes a new funding formula, but federal budget does not make up gap for 2.83% cut in 2025 Medicare Physician Fee Schedule.

There are proven answers already available on how to save money and incentivize doctors better

The Bipartisan Health Care Act includes a supplementary boost to the Medicare Physician Fee Schedule conversion factor of 3.5375 percent and extends telehealth flexibiliies.

President Trump’s pick to lead CMS defends his record amid tax, policy questions.

The agency says early termination could save taxpayers $750 million, but it raises concerns for primary care providers.

Weldon has been critical of vaccine safety and efficacy.

Congress and President Donald J. Trump are working toward a March 14 deadline to either fund the government or have many services shutdown.